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Oregon rates for HCPCS E1190

Amputee wheelchair, detachable arms (desk or full-length) swing-away detachable elevating legrests

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,218.00 / $1,218.00 / $1,218.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$695.04 / $817.68 / $1,218.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.61 / $115.61 / $1,140.20
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,529.40 / $3,600.31 / $3,904.94
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.96 / $606.91 / $1,745.28
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.25 / $109.70 / $139.03
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,280.85 / $2,739.59 / $2,778.49
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,280.85 / $2,739.59 / $2,778.49
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.34 / $447.80 / $1,745.28
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.61 / $132.34 / $162.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$581.26 / $688.37 / $1,147.29